Provider Demographics
NPI:1467680900
Name:FIELEKE, MATTHEW CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CURTIS
Last Name:FIELEKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:15435 W 134TH PL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6135
Mailing Address - Country:US
Mailing Address - Phone:913-782-7515
Mailing Address - Fax:913-782-2942
Practice Address - Street 1:15435 W 134TH PL
Practice Address - Street 2:SUITE 103
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6135
Practice Address - Country:US
Practice Address - Phone:913-782-7515
Practice Address - Fax:913-782-2942
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-35558207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS033D00076Medicare PIN